Lake, Robert Scott

Lake, Robert Scott is an individual health care provider with primary practice located at 109 Bee St , Charleston SC 29401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Lake, Robert Scott can be contacted via phone (843) 577-5011.

Contact Information

Primary practice address
109 Bee St Charleston SC 29401
Phone: (843) 577-5011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 22236 South Carolina
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 22236 South Carolina

Profile Details

NPI number 1487696019
LBN Legal business name Lake, Robert Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Aug 8th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487696019 NPPES
South Carolina Other P00727226 RAILROAD MEDICARE ID-RSFPP
South Carolina MEDICAID 222360 RAILROAD MEDICARE ID-RSFPP
South Carolina Other P00269321 RAILROAD MEDICARE ID-RSFPP

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